Individual
HEATHER LOUISE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
908 20TH ST S, COMMUNITY CARE BUILDING, 3RD FLOOR, BIRMINGHAM, AL 35294-2050
(205) 934-6774
Mailing address
908 20TH ST S, COMMUNITY CARE BUILDING, AVRC, BIRMINGHAM, AL 35294-2050
(205) 934-6774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-138861
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-138861
AL
363LW0102X
Women's Health Nurse Practitioner
1-138861
AL
Other
Enumeration date
01/12/2016
Last updated
02/01/2024
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